Idiopathic aseptic necrosis of hand and fingers
ICD-10 M87.04 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of hand and fingers.
Idiopathic aseptic necrosis of the hand and fingers is a condition characterized by the death of bone tissue due to a lack of blood supply, specifically affecting the bones in the hand and fingers. This condition is termed 'idiopathic' because the exact cause is unknown, although it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption. The necrosis leads to pain, swelling, and limited mobility in the affected areas. Patients may experience joint stiffness and may have difficulty performing daily activities. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and blood flow. Treatment options may include conservative measures like rest and physical therapy, or surgical interventions such as core decompression or bone grafting in more severe cases. The condition can lead to significant orthopedic complications if not managed appropriately, including chronic pain and functional impairment.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with hand pain, limited range of motion, and history of corticosteroid use.
Ensure clear documentation of the idiopathic nature and any potential risk factors.
Comprehensive imaging reports detailing findings related to bone integrity and blood supply.
Imaging studies requested for patients with suspected osteonecrosis.
Accurate interpretation of imaging studies is crucial for supporting the diagnosis.
Used for symptomatic relief in patients with joint effusion due to necrosis.
Document the reason for the procedure, findings, and any therapeutic interventions.
Orthopedic specialists should ensure proper coding for joint injections related to necrosis.
Common symptoms include pain in the affected area, swelling, stiffness, and limited range of motion in the fingers and hand.
Diagnosis is typically made through a combination of clinical evaluation, patient history, and imaging studies such as X-rays or MRI.
Treatment options range from conservative measures like rest and physical therapy to surgical interventions such as core decompression or bone grafting, depending on the severity of the necrosis.
